Provider Demographics
NPI:1417618679
Name:MOLINARI, MELISSA (MSN, FNP, ONC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:MOLINARI
Suffix:
Gender:F
Credentials:MSN, FNP, ONC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N DORADO CIR APT 2E
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-4616
Mailing Address - Country:US
Mailing Address - Phone:631-355-9606
Mailing Address - Fax:
Practice Address - Street 1:11 N DORADO CIR
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-4616
Practice Address - Country:US
Practice Address - Phone:631-355-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF348542-01363LF0000X
FLAPRN11017641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily